Individual
MRS. LAURIE ELLEN CHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5844 NW BARRY RD, STE. 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Mailing address
5844 NW BARRY RD, STE. 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008021543
MO
363LF0000X
Family Nurse Practitioner
Primary
2013002281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679919062
—
MO
Enumeration date
05/13/2013
Last updated
11/06/2015
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